1.
Allyson Chan is a 22-year-old female who was brought to an outpatient mental health clinic by
her stepmother, Lynn. Lynn voices several concerns about Allyson. Allyson was recently
dismissed from a local nursing school due to professionalism issues. Allyson's ex-partner has
threatened to press charges related to stalking behavior. Lynn states, "I don't know what more I
can do, I am scared she is really going to get into trouble this time!"
Answer:
Psychosocial: Mood and Affect
Psychosocial: Stress and Coping
Psychosocial: Interpersonal Violence
2.
Melinda is a 19-year-old female client who is a freshman at a state university.
Answer:
Physiological: Nutrition
Health Promotion: Client Education
Safety: Self-harm
Physiological: Fluid and Electrolyte
3.
Jalen Grimes is a 29-year-old male who presents to his provider's office for a pre-employment
physical exam.
Answer:
Psychosocial: Mood and Affect
4.
Avery Vergara, 38-year-old male, is brought to the mental health facility by his spouse who states
he has been displaying manifestations of mania over the past few weeks.
Answer:
Safety: Injury Prevention
,Physiological: Nutrition
Psychosocial: Stress and Coping
Health Promotion: Self Care
Safety: Self-harm
Psychosocial: Mood and Affect
5.
Lily Sharkey is a 32-year-old female who presents to the outpatient mental health clinic for
concerns regarding panic attacks.
Answer:
Safety: Self-harm
Psychosocial: Stress and Coping
Psychosocial: Mood and Affect
Health Promotion: Self Care
6.
Allyson looks at the nurse and states, "I can tell you think I did something to my ex-partner. I
knew she was cheating on me the whole time we were together. I started following her to prove I
was right all along."
Which of the following risk factors for developing mental illness has the client experienced?
(Select all that apply)
Answer:
Trauma
Genetic Factors
Stress
7.
After the provider leaves the room, Allyson glares at the nurse and states, "I don't have paranoid
personality disorder. Everyone is just out to get me. I am going to call a lawyer!"
Which of the following actions should the nurse plan to implement when building a therapeutic
relationship with a client who has paranoid personality disorder? (Select all that apply)
Answer:
Set limits if the client displays threatening behaviors
8.
, Lynn asks the nurse if there is anything that can be done to treat paranoid personality disorder.
Answer:
Psychotherapy
Group therapy
Antianxiety medication
9.
The provider gives Allyson a prescription for Lorazepam to help with anxiety and agitation.
Which of the following client statements indicate an understanding of the medication? (Select all
that apply)
Answer:
"I should not become pregnant while taking this medication."
"I should not suddenly stop taking this medication."
"If I start to have insomnia or more anxiety, I will notify my provider."
"I will be careful driving while on this medication."
10.
The nurse suspects Melinda may have anorexia nervosa and performs a physical assessment.
Which of the following manifestations should the nurse expect if Melinda has anorexia nervosa?
(Select all that apply)
Answer:
Thin, emaciated appearance
Mottled skin
Brittle hair and nails
Menstrual irregularities
Peripheral edema
Presence of lanugo
11.
The nurse notifies the provider of Melinda's vital signs and the assessment findings.
Which of the following provider prescriptions should the nurse anticipate? (Select all that apply)
Answer:
Complete blood count (CBC)
Comprehensive metabolic panel (CMP)
Thyroid panel
ECG